Course name | Date

Multifocal Pattern Dystrophy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel
A 50-year-old patient presenting asymptomatically with 20/30 vision was found to have yellow outer retinal lesions bright on autofluorescence. Genetic testing confirmed a mutation in the RDS gene. Often this can simulate Stargardt’s disease which has a mutation in the ABCA4 gene. There is no trea…

Myelinated Retinal Nerve Fiber Layer

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Brandon Sparling
Presenter/Faculty: Sparling

Myelinated retinal nerve fiber layer

Myopic Degeneration

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Harry W. Flynn, Jr., MD; Nimesh A. Patel, MD
Presenter/Faculty: Flynn, Patel

Myopic degeneration patches of severe retinal and choroidal atrophy, lacquer cracks, a tilted disc and lattice degeneration.

Neurotrophic Corneal Ulcer

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Paula W. Feng, MD; Rahul Singh Tonk, MD
Presenter/Faculty: Feng, Tonk

The patient presented with a neurotrophic corneal ulcer and descemetocele. A lamellar keratectomy, corneal patch graft, amniotic membrane were applied. Preop and post-op-month 1, with amniotic membrane dissolved.

Ocular Bartonella Henselae Infection

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Albini, MD; Jason C. Fan, MD, PhD; Benjamin R. Lin, MD; Landon J. Rohowetz, MD
Presenter/Faculty: Albini, Fan, Lin, Rohowetz

A patient with ocular Bartonella henselae infection manifesting as neuroretinitis and branch retinal artery occlusion.

Ophthalmia Nodosa, Right Eye, Secondary to Presumed Moth Setae in the Anterior Vitreous

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Noy Ashkenazy, MD, MS; Janet L. Davis, MD
Presenter/Faculty: Ashkenazy, Davis

A presumed moth setae was identified in the anterior vitreous cavity of a patient with uveitis following ocular trauma by a flying insect. The multifocal keratitis and vitreous opacities improved following two weeks of high-dose oral prednisone.

Optic Nerve Cupping from Primary Open Angle Glaucoma

Specialty: Glaucoma
Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD
Presenter/Faculty: Patel

Increased cup to disc ratio at > 0.9 with some peripapillary atrophy.

Optic Nerve Cyst and Coloboma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Audina M. Berrocal, MD; Nimesh A. Patel, MD
Presenter/Faculty: Berrocal, Patel

Optic nerve cyst (first image) that over time revealed an optic nerve coloboma (second image).

Orbital Cysts

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Shanlee M. Stevens, MD
Presenter/Faculty: Stevens

An elderly patient with anophthalmic socket pain underwent orbital exploration. Intra-operative photo shows a large cystic lesion superior to her orbital implant. Close up photograph of the cyst shows a 1-mm intact cystic lesion filled with gray opaque fluid.

OSSN masquerading as a Pinguecula/Severe Dry Eye

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Victor H. Banda, MD; Sander R. Dubovy, MD; Carol L. Karp, MD
Presenter/Faculty: Banda, Dubovy, Karp
Patient presents with unilateral blurred vision, foreign body sensation and redness. Picture on the right shows gelatinous pinguecula at limbal location 4 clock hour, corneal surface with significant PEE. Picture on the left is HR-OCT that shows thickened and hyperreflective epithelium with abrupt …

Pediatric Leber's Hereditary Optic Neuropathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Maja Kostic, MD, PhD; Byron L. Lam, MD; Nimesh A. Patel, MD
Presenter/Faculty: Kostic, Lam, Patel

A 7-year-old patient with fundus photos showing temporal optic nerve pallor OU. Vision was 20/400 and 20/800. Ganglion cell layer of the patients male first cousin reveals diffuse thinning.

Penetrating Ocular Trauma with Staple Gun

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Jacob S. Duker, MD; Nimesh A. Patel, MD
Presenter/Faculty: Duker, Patel

The large staple was able to be surgically removed and was performed with phacoemulsification of the lens.

Perfluorocarbon Liquid Retained in Anterior Chamber

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Nicolas A. Yannuzzi, MD
Presenter/Faculty: Patel, Yannuzzi

PFO liquid in the anterior chamber after retinal surgery. This caused some corneal edema and required removal.

Peripapillary Congenital Hypertrophy of the Retinal Pigment Epithelium (CHRPE)

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Micheal C. Yim, MD
Presenter/Faculty: Patel, Yim

Pigmented lesion in the peripapillary area with lacunae suggesting chronicity.

Peripheral Ulcerative Keratitis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Nimesh A. Patel, MD; Jesse D. Sengillo, MD; Patrick Staropoli, MD
Presenter/Faculty: Patel, Sengillo, Staropoli

Inferior peripheral corneal thinning due to systemic inflammatory disease. Surgery was with conjunctival recession and amniotic membrane placement.

Peripheral Ulcerative Keratitis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Guillermo Amescua, MD; Nimesh A. Patel, MD; Humberto Salazar, III, MD
Presenter/Faculty: Amescua, Patel, Salazar
Peripheral crescentic ulceration and thinning along limbus from 0600 to 1200 with superior neovascularization associated with pain. Treatment was initially with lubrication, antibiotic, systemic steroids, vitamin C, and doxycycline. Ultimately, the patient needed conjunctival recession with AMT pla…

Phacolytic Glaucoma

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Sander R. Dubovy, MD; Thomas A. Lazzarini, MD; Nathan L. Scott, MD, MPP; Justin H. Townsend, MD
Presenter/Faculty: Dubovy, Lazzarini, Scott, Townsend
A patient with a history of pseudophakia OS presented with 5 years of low vision and 9 days of pain OD and was found to have light perception only vision and an IOP of 44mmHg OD. She had a granular appearing hypopyon in the anterior chamber corneal edema and a mature cataract. Immunohistological an…

Polypoidal Choroidal Vasculopathy

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Kenneth C. Fan, MD, MBA; Nimesh A. Patel, MD
Presenter/Faculty: Fan, Patel

Fundus photo with a nasal peripapillary sub retinal vascular complex surrounded by exudation. OCT with pigment epithelial detachment and associated sub-retinal fluid. ICG angiography makes the diagnosis clear with a hypercyanescent polyp in the choroid.

Pseudoangiomatous Retinal Gliosis

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Luis J. Haddock, MD; Marilyn A. Marquez, MD
Presenter/Faculty: Haddock, Marquez

Figure 1: Fundus photography of patient treated with Iodine plaque, PPV and endolaser due to Pseudoangiomatous retinal glisois that caused a retinal detachment. Figure 2: Bscan of same patient as figure 1 before surgery.

Pseudoxanthoma Elasticum

Type: Ophthalmic Images
Include in Catalogue?: Yes
Original Contributor(s): Thomas A. Lazzarini, MD; Landon J. Rohowetz, MD; Justin H. Townsend, MD
Presenter/Faculty: Lazzarini, Rohowetz, Townsend
A patient with pseudoxanthoma elasticum presented with decreased vision in both eyes. Initial fundus exam revealed angioid streaks, peripapillary atrophy, comet lesions, and a peau d'orange fundus appearance in both eyes. The patient was lost to follow-up and presented 3 years later with a choroida…